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Dr. Joydeep Mandal

General Physician, Katwa

100 at clinic
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Dr. Joydeep Mandal General Physician, Katwa
100 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
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Fatty Liver Disease - Signs You Are Suffering From It!

MBBS, DNB - Internal Medicine, DNB - Gastroenterology
Gastroenterologist, Delhi
Fatty Liver Disease - Signs You Are Suffering From It!

Having some fat in your liver is legit. But, if you have too much of fat say more than 5%-10% of the organ's weight then you are at risk of getting fatty liver disease. At the onset, you can do one important thing to help your liver stop drinking. It causes fatty liver disease.

There are two main types of fatty liver disease

  • Alcoholic liver disease or ALD
  • Non-alcoholic fatty liver disease or NAFLD
  • If you are a woman who is pregnant, you can also get fatty liver disease.

Alcoholic Liver Disease (ALD)

  • You can get ALD from drinking lots of alcohol. ALD can also present itself after a short period of heavy drinking.
  • Genetics has a role to play in ALD. Genes can make you hit the bottle and increase your chances of becoming an alcoholic.
  • Genes can also impact the way your body breaks down the alcohol you drink.

Other root causes of ALD are:

  • Hep C doesn't cause ALD. it is one of the causes of fatty liver.
  • Hep B is also a cause of fatty liver. There are certain medications which may be helpful from person to person besides lifestyle management.
  • Excess iron in your body
  • Obesity

Non-alcoholic Fatty Liver Disease (NAFLD)
The cause of NAFLD is not clear, but we know that it tends to run in families.
NAFLD is also more common in the middle-aged and the obese or, those who have high cholesterol and diabetes.

Other risk factors are:

  • Certain medicines
  • Viral hepatitis
  • Auto-immune or inherited liver disease
  • Gaining weight fast
  • Malnutrition
  • Acute Fatty Liver during Pregnancy
  • Fat can build up in your liver when you're pregnant, causing this kind of fatty liver disease.
  • It’s a serious condition as it can be risky for both you and your baby. It can cause liver or kidney failure in you and your child, both.
  • Causes are unknown. But, hormones may play a role.

Symptoms of fatty liver disease
This disease can sometimes cause no symptoms for long. But, the things to look out for are-

  • Feeling tired all the time
  • Loss of appetite or weight
  • General weakness
  • Nausea
  • Confusion and trouble concentrating
  • Your liver can become larger
  • Pain in the centre or right upper part of your belly

In ALD, your symptoms get worse after bouts of heavy drinking. Fatty liver disease is diagnosed during routine exams when your doctor notices your enlarged liver. Ultrasound, blood tests to check for certain enzymes and biopsy of the liver are performed to confirm it.

Treatment

  • There is no specific treatment for the fatty liver disease.
  • You can manage it by managing your diabetes and giving up drinking. If you have ALD and you don’t quit, you get complications like alcoholic hepatitis or cirrhosis.
  • Even if you have a non-alcoholic fatty liver disease, alcohol cessation helps.
  • Losing weight if you are overweight also helps to manage this disease and having a good balanced diet with exercise also shows benefits. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
1862 people found this helpful

I am 24 year male. I had sex issues. My penis is not so strong. It starting pain in my penis whenever I use to start sex. What should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am 24 year male. I had sex issues. My penis is not so strong. It starting pain in my penis whenever I use to start ...
'vrushya' category of herbs will make available enough shukra in your body and pain will go if it is due to lack of shukra. To make penis strong pl use genuine classic tila made by vaidya himself or under some arrangements'vrushya' and'tila' if genuine, alone would solve it in a fine way.
2 people found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician,
Heart disease in women

Contrary to popular understanding, the effects of CVD are often worse in women than in men:
Younger women who have a heart attack have higher mortality than men of the same age.
Women with diabetes have higher CVD mortality than men with diabetes.
Immediately following stroke, women are more likely to experience serious problems compared to men.
Yet women are more likely than men to be under-diagnosed and under-treated

Which oat brand is best to eat in breakfast in india and that also rich in fiber pls help me out.

MBBS
General Physician, Mumbai
Which oat brand is best to eat in breakfast in india and that also rich in fiber pls help me out.
Dear lybrateuser, - Some popular oat brands are Quaker, Saffola, kellogs, Bagry's, they are all rich in fibre & can be had in breakfast.
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My headache problem increased day by day. Kindly prefer me doctors and suitable medicine.

B.H.M.S
Homeopath, Lucknow
My headache problem increased day by day. Kindly prefer me doctors and suitable medicine.
Please let your eyesight be checked. Avoid forward bending. Do backward extension exercise of neck Get ur BP be checked.
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I have one nose always blocked and sometimes when the suitition get wrost both nose got blocked. Also I have sinus problem. Please let me know will it be useful to get sinus operation or should just take the medicine. kindly advice Thanks

MBBS
General Physician, Gurgaon
Sinus operation generally do not resolve symptoms completely. One should go for sinus operation as last resort if there is breathing difficulty. Please get a xray pns view to see extent of involvement.
1 person found this helpful
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She has dry cough for last 2 months. Taking antibiotic but not recovering What is the reason and treatment? Please help.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist, Delhi
Likely to be allergic in nature. Try to find out the cause of allergy and if possible avoid it. If no possible cause of allergy then think of some resistant infection or rare infection or may be TB.
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I can not able to sleep at night. I try much to fall asleep. I suffer much at my bed. All my family members sleep but me not. Please tell me what problem do I have? Please solve it.

B.A.M.S
Ayurveda, Noida
I can not able to sleep at night. I try much to fall asleep. I suffer much at my bed. All my family members sleep but...
First of all get discipline in your lifestyle. Your sleeping time, food and working must timely. Sitting idle is not helpful to sound sleep. So must add 30 mnt exercise in your morning. Before going sleep listen soothing music, bhajan or guided meditation s. Take 1 glass of hot milk with misri wl also be helpful to you. And must avoide the reason to being restless.
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Sir I am 36 years old. My wife who is detected now as an epilepsy patient. First incident of seizure took place on 10th march when she became unconscious for 5to 6 seconds. On 30th april again she became unconscious. At the very time she made a groaning sound, starred and urine came out. On 10th may she was first detected as epilepsy by a neurologist. The doctor prescribed valprolcr500 and folvite. After 5 month on 6th october again she became unconscious. I also visited a neuropsychriatist who prescribed nexito10 and lonazep0. 25 along with the above medicine. Now I am very tensed have a 14 months baby. I am very introvert and sometimes suffer from depression because of being unemployed in spite of being getting a job. Sir is there any restriction to eat chicken ,mutton or fast foods? My weight has decreased from 59 to 53. Is it a result of side effect of the medicine? Will my seizure be under control or not? I am very tensed. I have a baby of 14 months. After delivery still my period does not begin. Has it a connection with epilepsy? Does my epilepsy connect with any gyno problem? Please advice me sir.

MD - Psychiatry
Psychiatrist, Udaipur
Amenorrhoea after 14 month of delivery is a common phenomena. Its not related with your current epileptic episode or medicine related to it. Because of stress in your life related to your job and wife medical condition its might be possible you become depressed and it is only reason you lost your weight. I advise you to consult neuropsychiatriat who will guide you how you could balance between your personal and professional life.
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I'm suffering from the headache which will actually come suddenly without any tensions can anyone please suggest me relief from this situation.

MBBS, cc USG
General Physician, Gurgaon
I'm suffering from the headache which will actually come suddenly without any tensions can anyone please suggest me r...
you may be having headache because of refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult me for further management.
2 people found this helpful
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Am 40 years old, Am been masturbating since I was 19 yrs, it has come time that now am doing it 3 times aday, nad rely enjoy it, is it wrong to do it or what can I do to stop.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Am 40 years old, Am been masturbating since I was 19 yrs, it has come time that now am doing it 3 times aday, nad rel...
Dear Lybrate user. I can understand. MASTURBATION is normal, natural and never unhealthy. But Excess masturbation can kill your sexual stamina. Excess masturbation can also cause anxiety disorder, depression and thereby erectile dysfunction, premature ejaculation etc. You can be sure; there are no side effects to masturbation if you are able to restrict it to thrice a week. Jogging and physical exercise are always good to keep you fit and stop worrying about sex and allied thinking. I suggest online sex counseling and therapy. Take care.
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My mom age 48 weight 65 she has rhemutoartharitist since past 6 years she tried everything to be get cure. She has Ra+ and uric acid level is also high. She tried homeopathy homeopathy allopathy. She is not well cure properly please help me to get fit and fine I need a specialist for rehmutology. Give me some ideas. What food she need to avoid it whats she need it to take? Do she need physiotherapy. Any tablets please comment below for the best result ti come out from the root of rhemt. Ath.! I can not see her pain all the time. I need help please help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.. .
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I am 32 years old and have problem of ejaculation ,when we go to toilet than sperm discharge with urine.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am 32 years old and have problem of ejaculation ,when we go to toilet than sperm discharge with urine.
Dear Lybrate user. Semen seeping through penis after urination or while having sexual thoughts or while with an attractive girl or woman etc is common and it is not a problem at all. This is a natural body procedure whereby your body tries to evacuate the stored semen. Semen is produced within your body whenever you are sexually (even slightly) excited and is stored within your body. Now this stored semen is a waste product that your body wants to throw out. This is a natural process and you don't have any control over it. I also assure you that this is never unhealthy. Take care.
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Arthritis And Homoeopathic Treatment

B.H.M.S
Homeopath, Kolkata

Arthritis is very common but is not well understood. Actually, 'arthritis' is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. People of all ages, sexes and races can and do have arthritis, and it is the leading cause of disability. More than 50 million adults and 300, 000 children have some type of arthritis. It is most common among women and occurs more frequently as people get older.

Common arthritis joint symptoms include swelling, pain, stiffness and decreased the range of motion. Symptoms may come and go. They can be mild, moderate or severe. They may stay about the same for years, but may progress or get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes. These changes may be visible, such as knobby finger joints, but often the damage can only be seen on x-ray. Some types of arthritis also affect the heart, eyes, lungs, kidneys and skin as well as the joints.

There are different types of arthritis:

Degenerative arthritis
Osteoarthritis is the most common type of arthritis. When the cartilage - the slick, cushioning surface on the ends of bones - wears away, bone rubs against bone, causing pain, swelling and stiffness. Over time, joints can lose strength and pain may become chronic. Risk factors include excess weight, family history, age and previous injury (an anterior cruciate ligament, or acl, tear, for example).

When the joint symptoms of osteoarthritis are mild or moderate, they can be managed by:

Balancing activity with rest

Using hot and cold therapies

Regular physical activity

Maintaining a healthy weight

Strengthening the muscles around the joint for added support

Using assistive devices

Taking over-the-counter (otc) pain relievers or anti-inflammatory medicines

Avoiding excessive repetitive movements

If joint symptoms are severe, causing limited mobility and affecting the quality of life, some of the above management strategies may be helpful, but joint replacement may be necessary.

Osteoarthritis can prevent by staying active, maintaining a healthy weight, and avoiding injury and repetitive movements.

Inflammatory arthritis
A healthy immune system is protective. It generates internal inflammation to get rid of the infection and prevent disease. But the immune system can go awry, mistakenly attacking the joints with uncontrolled inflammation, potentially causing joint erosion and may damage internal organs, eyes and other parts of the body. Rheumatoid arthritis and psoriatic arthritis are examples of inflammatory arthritis. Researchers believe that a combination of genetics and environmental factors can trigger autoimmunity. Smoking is an example of an environmental risk factor that can trigger rheumatoid arthritis in people with certain genes.

With autoimmune and inflammatory types of arthritis, early diagnosis and aggressive treatment are critical. Slowing disease activity can help minimize or even prevent permanent joint damage. Remission is the goal and may be achieved through the use of one or more medications known as disease-modifying antirheumatic drugs (DMARDs). The goal of treatment is to reduce pain, improve function, and prevent further joint damage.

Infectious arthritis
A bacterium, virus or fungus can enter the joint and trigger inflammation. Examples of organisms that can infect joints are salmonella and shigella (food poisoning or contamination), chlamydia and gonorrhea (sexually transmitted diseases) and hepatitis c (a blood-to-blood infection, often through shared needles or transfusions). In many cases, timely treatment with antibiotics may clear the joint infection, but sometimes arthritis becomes chronic.

Metabolic arthritis
Uric acid is formed as the body breaks down purines, a substance found in human cells and in many foods. Some people have high levels of uric acid because they naturally produce more than is needed or the body can't get rid of the uric acid quickly enough. In some people the uric acid builds up and forms needle-like crystals in the joint, resulting in sudden spikes of extreme joint pain, or a gout attack. Gout can come and go in episodes or, if uric acid levels aren't reduced, it can become chronic, causing ongoing pain and disability.

Diagnosing arthritis

Arthritis diagnosis often begins with a primary care physician, who performs a physical exam and may do blood tests and imaging scans to help determine the type of arthritis. An arthritis specialist, or rheumatologist, should be involved if the diagnosis is uncertain or if arthritis may be inflammatory. Rheumatologists typically manage ongoing treatment for inflammatory arthritis, gout, and other complicated cases. Orthopedic surgeons do joint surgery, including joint replacements. When arthritis affects other body systems or parts, other specialists, such as ophthalmologists, dermatologists or dentists, may also be included in the health care team.

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using a holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat arthritis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for homeopathic treatment of arthritis that can be selected on the basis of cause, location, sensation, modalities and extension of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some important remedies are given below for the homeopathic treatment of arthritis:

Bryonia alba. - pain with inflammation which, is aggravated by movement and relieved by moderate pressure and rest.
Ledum pal. - excellent remedy for gout and rheumatism which is of ascending nature, better by cold application.
Rhus tox. - pain aggravated by first movement, damp weather and better by continuous motion.
Colchicum - pain worse by motion touch or mental effort, better by warmth and rest.
Kalmia lot. - descending type of pain, pain with palpitation of heart and slow pulse
Guaiacum. - gouty abscesses of joints, pain relieved by cold bath and cold application.
Calcaria carb. - arthritic swelling, knee pain especially in fleshy people which is worse by the cold.
Benzoic acid - gouty concretions of joints, knee pain due to abnormal deposition of uric acid
Hypericum. - the remarkable remedy for rheumatoid arthritis has outstanding action over nerve pain.

Sir I am suffering from nightfall last 7 seven years it happens frequently or some time more than 6 to 7 due to over masturbation my sexual time is too low. It occurs in just 10 to 15 second. I am unmarried and I am also facing problem of body weakness my legs do pain continuously. I can not run fast more than 200 mtr and when I use stair my legs feel very fatigue and also pain in legs. I can not do any heavy work nd I always feel week and also feel pain in my body joint sir please give me a useful treatment for my problem. I take medicine from many doctors but I could not satisfy with them treatment.

MD-Ayurveda
Ayurveda, Patiala
Sir I am suffering from nightfall last 7 seven years it happens frequently or some time more than 6 to 7 due to over ...
take chandraprabha vati, 3 tabs twice a day after meals with chandanasava, 3 tsf after meals. Take shakravallaba rasa, 1 tab twice a day after meals with a cup of warm milk. Continue the regime for 1 month. Discontinue shakravallabah rasa after 1 month. Start vanga bhasma tab, 2 tabs twice a day after meals with luke warm water. continue chandraprabha vati tabs and vanga bhasma tabs,for 2 months. Avoid cold eatables, reduce intake of tea and cold drinks. good luck
1 person found this helpful
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Sir I have been suffering piles form one year ago. I want to know basic treatment.

BHMS
Homeopath, Purulia
Drink more water avoid oily, rich foods-egg, mutton nux vom 200, 1 dose early morning in empty stomach.
1 person found this helpful
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Good Morning doctor I need to sleep tablet because I have sleep problem every night.

MBBS
General Physician, Mumbai
Good Morning doctor I need to sleep tablet because I have sleep problem every night.
Tip- I will suggest you to take a shower with warm water or just wash your face, forearms,legs with soap and water at bedtime for a peaceful sleep and you will have to contact privately for prescription.
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How to long last in bed. I am suffering from pre ejaculation. And it is very irritating.

MD-Physician, PGDCC
Cardiologist, Jaipur
How to long last in bed. I am suffering from pre ejaculation. And it is very irritating.
Duration of sex can be definitely increased by following particular methods and sime specific foods penis size has nothing to do with sexual satisfaction. Feel free to take my consultation to know it perfectly.
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I hav problem in erection of penis in morning nd as well as early discharge problem.

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
I hav problem in erection of penis in morning nd as well as early discharge problem.
Mr. Lybrate-user ji good morning you are suffering from premature ejacolation problem you can take ayurveda medicine 1 two tea spon asavgandha powder 2 one tea spon dal cheni powder 3 one glass milk 4 added to mixture and boil 15 minutes 5 use every night after meal good results in a one month my advice do exercise 30 minutes daily eat healthy food and almond ssfron and fruits juice.
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